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Development of Child Posttraumatic Stress Disorder in Pediatric Trauma Victims: The Impact of Initial Child and Caregiver PTSD Symptoms on the Development of Subsequent Child PTSD

Ostrowski, Sarah Anne
http://rave.ohiolink.edu/etdc/view?acc_num=kent1216651334

Abstract Details

2008, PHD, Kent State University, College of Arts and Sciences / Department of Psychological Sciences.
Following a child's traumatic injury, both the child and his/her parents often report significant levels of posttraumatic stress disorder (PTSD) symptoms. Although many studies have identified predictors of PTSD at varying times post-trauma, few have longitudinally examined mechanisms through which child PTSD symptoms (PTSS) develop over time. Additionally, there is limited research on the interaction between caregiver and child PTSS. Determination of initial acute responses in both the caregiver and child that predict increased risk for persistent child PTSD will allow for greater specificity in identifying at-risk families and will inform the design of novel family-focused interventions. One hundred and eighteen child traumatic injury victims aged 8-18 years and their primary caregivers were interviewed in-hospital and at 2- and 6-weeks post-trauma to assess the development and maintenance of child PTSS. At each time point, depressive and PTSD symptomatology of both the child and caregiver were measured. Results revealed that child in-hospital levels of hyperarousal predicted child 2-week PTSS; however, child in-hospital levels of avoidance were found to predict child PTSS at 6-weeks post-trauma. Furthermore, post-hoc analyses revealed that high levels of child in-hospital re-experiencing symptoms and high levels of caregiver in-hospital avoidance symptoms significantly interacted to predict child 6-week PTSS, particularly in girls. The results of the current study underscore the importance of examining specific symptoms of PTSD and focus on the impact of familial distress on child post-traumatic adjustment.
Douglas Delahanty, PhD (Committee Chair)
Kristin Mickelson, PhD (Committee Member)
Josefina Grau, PhD (Committee Member)
Claire Draucker, PhD (Committee Member)
141 p.
Psychology
PTSD; pediatric trauma victims; parent PTSD symptoms

Recommended Citations

Citations

  • Ostrowski, S. A. (2008). Development of Child Posttraumatic Stress Disorder in Pediatric Trauma Victims: The Impact of Initial Child and Caregiver PTSD Symptoms on the Development of Subsequent Child PTSD [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1216651334

    APA Style (7th edition)

  • Ostrowski, Sarah. Development of Child Posttraumatic Stress Disorder in Pediatric Trauma Victims: The Impact of Initial Child and Caregiver PTSD Symptoms on the Development of Subsequent Child PTSD. 2008. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1216651334.

    MLA Style (8th edition)

  • Ostrowski, Sarah. "Development of Child Posttraumatic Stress Disorder in Pediatric Trauma Victims: The Impact of Initial Child and Caregiver PTSD Symptoms on the Development of Subsequent Child PTSD." Doctoral dissertation, Kent State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=kent1216651334

    Chicago Manual of Style (17th edition)

kent1216651334
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© 2008, all rights reserved.
This open access ETD is published by Kent State University and OhioLINK.